Individual provider · Type 1 NPI

Stephanie Eileen St. Nicholas

Specialist · Bohemia, NY

NPI number 1922980655 Active

Practice location

545 Smithtown Ave
Bohemia, NY 11716-4915

Call (631) 291-7276 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1922980655

Stephanie Eileen St. Nicholas's National Provider Identifier is 1922980655, issued on Jul 23, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bohemia, NY. The record was last updated on Jul 23, 2025.